Individual
DR. F. D. REGGIE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1189 S MAIN ST, SMITHFIELD, UT 84335-6764
(435) 563-3025
Mailing address
1189 S MAIN ST, SMITHFIELD, UT 84335-6764
(435) 563-3025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
83077979922
UT
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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